Division of Nursing’s Workforce Diversity and Health Equity Agenda Mary Beth Bigley, DrPH, MSN, ANP Director, Division of Nursing Bureau of Health Professions

Division of Nursing’s Workforce Diversity and

Health Equity Agenda

Mary Beth Bigley, DrPH, MSN, ANPDirector, Division of NursingBureau of Health Professions

April 23, 2014

Department of Health and Human ServicesHealth Resources and Services Administration

Bureau of Health ProfessionsDivision of Nursing

Outline1. Overview of HRSA Mission and focus on health

equity2. Present a conceptual model linking health equity,

social determinants of health (SDOH) and nursing workforce diversity (NWD)

3. Describe a Division of Nursing (DN) specific initiative to utilize the SDOH to increase NWD and improve population health equity

4. Conclusions and next stepsHRSA, BHPr, Division of Nursing 2

HRSA Mission

To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs.

HRSA, BHPr, Division of Nursing 3

Health Equity Attainment of the highest level of health

(includes population health) for all people Valuing every individual equally Focused and ongoing societal efforts to address:

avoidable inequalities historical and contemporary injustices

Elimination of health and health care disparities • Healthy People 2020

HRSA, BHPr, Division of Nursing4

Cascading Strategic Initiative on Health Equity

Improve Health Equity

Improve Health Equity

Achieve Health Equity HHS

HRSA

BHPrHRSA, BHPr, Division of Nursing

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DN Structure

Division of Nursing

Nursing Practice and Workforce

Development

Nursing Workforce Diversity

Nurse Education, Practice, Quality and Retention

Advanced Nursing Education

ANE/ANEENAT/AENT

NFLP


Division of Nursing’s Workforce Diversity and Health Equity Agenda

Shanita D. Williams, PhD, MPH, APRNChief, Nursing Practice and Workforce

Development BranchBureau of Health Professions

April 23, 2014

Department of Health and Human ServicesHealth Resources and Services Administration

Bureau of Health ProfessionsDivision of Nursing

Division of Nursing Mission

To provide national leadership to assure an adequate supply and distribution of qualified nursing personnel to meet the health needs of the Nation.


Division of Nursing Goals

Enhance the composition, skills and distribution of the nursing workforce

Ensure program accountability through focused performance and outcomes assessment

Promote effective communication with the public and stakeholders on nursing workforce development

Increase diversity and cultural and linguistic competence of the nursing workforce


Nursing Workforce Diversity (NWD) Program

LegislationTitle VIII Section 821 of the Public Health Service Act; 42 U.S.C. 296m, as amended by the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148

Legislative Definition of DiversityCreate and expand nursing education opportunities for individuals from disadvantaged backgrounds (including racial and ethnic minorities underrepresented among registered nurses)


Nursing Workforce Diversity (NWD) Program

Increase nurse education opportunities for individuals from disadvantaged backgrounds using stipends, scholarships, and mentoring

Achieve a culturally-aligned and competent workforce that is reflective of the population

Develop innovative pipeline programs to recruit, retain, and help graduate nurses (RN programs)

11HRSA, BHPr, Division of Nursing

Workforce Diversity to Achieve Health Equity


Vision Leadership Role in Workforce Diversity:

Support portfolio of next generation NWD projects and evaluation

Partner with other federal agencies, foundations, and public and private organizations

Models of Best Practice: Grantees/Awardees develop and rigorously

evaluate innovative NWD programs Clearinghouse of exemplar programs and

evaluation methodologiesHRSA, BHPr, Division of Nursing 13

Vision Incorporating Social Determinants of Health

(SDOH) in Workforce Diversity efforts Increase diversity of portfolio of grantees

Expand outreach efforts: Tribal colleges and universities (TCU) Historically Black Colleges and Universities

(HBCU) Minority Serving Institutions (MSU) Hispanic Serving Institutions (HSI)


Workforce Diversity to Achieve Health Equity


Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence.


Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence.


Transformation from Health Disparities to Health Equity

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ACHIEVING HEALTH EQUITY: UNDERSTANDING BHPr’s ROLE

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Social Determinants of Health

Conditions in which people are born, grow, live, work and age

Shaped by the distribution of money, power and resources Global, national and local levels Influenced by policy choices

Responsible for health inequities Unfair and avoidable differences in health status Observed within and between countries

World Health Organization HRSA, BHPr, Division of Nursing 20

Social Determinants of Health

Contribute to or detract from health of individuals and communities

Includes a living standard: Health Food Clean water Participation in society Benefits of societal progress


SDOH: The Transition from individual-level to multi-level approaches

and strategies…


SDOH and Nursing Workforce Diversity

Multi-level strategies are needed to: address the larger social and structural forces that

impede efforts to diversify the nursing workforce increase access to quality care reduce health disparities improve health equity


The Nursing in 3D Summit


Nursing in 3D Journal Supplement

Public Health Reports Integration of the 3D’s 15 invited manuscripts

3D Summit presenters HRSA staff


Towards Health Equity

NWD 2013 and 2014 Funding Opportunity Announcements: Develop innovative workforce diversity strategies

that would facilitate the entry, retention and graduation of racial and ethnic minorities from Schools of Nursing

Create “new” partnerships/alliances Integrate diversity, disparities, and social

determinants (3D)HRSA, BHPr, Division of Nursing

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What’s Next… Engage stakeholder groups

NACNEP Professional Associations etc.

Continue to shape the vision Develop “new” partnerships

Nontraditional Multiple disciplines, sectors


Contact Information

Shanita D. Williams, PhD, MPH, APRNChief, Nursing Practice and Workforce Development Branch, Division of Nursing

Bureau of Health ProfessionsOffice: 301-443-1253

Email: [email protected]. http://bhpr.hrsa.gov/nursing/index.html

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mailto:[email protected]

http://bhpr.hrsa.gov/nursing/index.html

Documents

Division of Nursing’s Workforce Diversity and Health Equity Agenda Mary Beth Bigley, DrPH, MSN, ANP Director, Division of Nursing Bureau of Health Professions